Intraoperative Techniques for Gaining Ileoanal Pouch Reach

Abstract Ileal pouch-anal anastomosis allows for reestablishing gastrointestinal continuity in patients after proctocolectomy. The technical elements of pouch creation and gaining reach into the pelvis are demanding and require a variety of surgical maneuvers to achieve a tension-free anastomosis. W...

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Bibliographic Details
Published in:Clinics in colon and rectal surgery 2022-11, Vol.35 (6), p.458-462
Main Authors: Mankarious, Marc M., Deutsch, Michael J., Jeganathan, Nimalan A.
Format: Article
Language:English
Subjects:
Review
Review Article
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Summary:Abstract Ileal pouch-anal anastomosis allows for reestablishing gastrointestinal continuity in patients after proctocolectomy. The technical elements of pouch creation and gaining reach into the pelvis are demanding and require a variety of surgical maneuvers to achieve a tension-free anastomosis. We present a brief review of the literature discussing various approaches aimed at improving ileal pouch reach into the low pelvis. Although these techniques are used with different frequencies, they serve as important adjuncts to the gastrointestinal surgeons' armamentarium.
ISSN:1531-0043
1530-9681
DOI:10.1055/s-0042-1758136